Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1720082266
Practice Locations (3)
PREMIER PARADOX INC.
3524 NW 56TH ST
OKLAHOMA CITY, OK 731124518
4056573120
GREAT PLAINS MEDICAL FOUNDATION
3625 NW 56TH ST, SUITE 200
OKLAHOMA CITY, OK 731124509
4059512855
NR SHAWNEE LLC
3700 N KICKAPOO AVE, SUITE 116
SHAWNEE, OK 748040007
4055518103
Source: CMS National Downloadable File, September 2026.